Experience of a Homeopathy Consultation at a Teaching Program in Costa Rica, from 2003 to 2007
DOI:
https://doi.org/10.51481/amc.v51i2.229Keywords:
homeopathy, holistic model, primary care, teaching programAbstract
Objectives: To describe the experience, clinical methods and patients characteristics seen during homeopathic consultation.
Methods: The present is a descriptive study of 83 total clinical records. The following qualitative variables were analyzed (sex, marriage status, occupation, education, residence, religion, referral manner, physical an psychic consultation reasons, diagnosis or problems). Quantitative variables were: age, duration of first consultation, number of complaints at consultation, comparison between number of complaints for consultation with diagnosis / problems, total number of consultations, number and cost of homeopathic medications and results of the application of the Glasgow Homoeopathic Hospital Outcome Scale. Data was obtained from the clinical records, and then analyzed with the SPPS software 12.0 version. Central tendency measures, frequencies and proportions were obtained.
Results: 83 patients were seen, during the study period, ranging from 5 months to 83 years of age, average 38 years. There was female sex majority, and 79% were adult. Fifty seven percent attended on their own will, 28% were referred by physicians or nurses. Eighty one percent consulted because of physical problems, however after establishing a medical diagnosis, those diminished around 50% but psycho-physical health problems increased 8 times. The average of the first consultation was 66 minutes; the number of consultations was 2 and 3 the medications per person. The average cost of the prescriptions was ¢ 1 946.00 (aprox. 3 US dollars) per patient.
Conclusions: There is a demand for homeopathic consultation in Pavas district that should be investigated. The holistic therapeutic approach identified health problems in patients, that they did not report at the initial consultation. The results obtained coincidence in some aspects, with other international investigations in the field of clinical homeopathic practice.
Downloads
References
Lyon A. The fifth wave. Edinburgh: Scottish Council Foundation, 2003. En http://www.scottishcouncilfoundation.org/pubs_more. php?p=43. Consultado el 17 de Julio de 2007
Kayne. S. The origin of holism. Br Hom J 1999; 88:189-190.
Jeammet P, Reynaud M, Consoli SM. Psicología médica. Barcelona: Masson, 1999:215-216.
Dorland's Illustrated Medical Dictionary. Philadelphia: W.B. Saunders Company, 1994.
Amador S. Del fijismo del siglo XVIII al holismo del siglo XXI. Revista Girasol 2003; 5: 125-136.
Hasegawa H, Reilly D, Mercer S, Bikker A. Holism in primary care: the views of Scotland's general practitioners. Primary Health Care Research and Development. 2005; 6:320-328.
Madel TL. The incorporation of homoeopathy into public health programmer. Br Hom J 1992; 81:55-58.
Reilly D, Harrison T. Creative consulting: psiconeuroimmunology, the mindbody. Student BMJ 2002; 10:97-99.
Menéndez, E. Intencionalidad, Experiencia y Función: la articulación de los saberes médicos. Revista de Antropología Social. España. 2005; 14: 33-69.
Köehler G. The hanbook of homoeopathy. New Delhi. 1987.
Aristeguieta A. Homeopatía y psicología: consideraciones de actualidad. San José: Litografía Artex,1989.
Abecassis J, Barbancey J, Bastide M, Baur J, Belon P, Belot J y cols. Tratado de homeopatía. Barcelona: Paidotribo, 2000.
Leckridge B. Homeopatía en atención primaria. Barcelona: Paidotribo, 2000.
Mathie R. The research evidence base for homeopathy: a fresh assessment of the literature. Homeopathy 2003; 92:84-91.
Wayne J. Kaptchuk J, Linde K. A critical overview of homeopathy. Ann Intern Med 2003; 138:393-399
Jacobs J, Springer A, Crothers D. Homeopathic treatment of acute otitis media in children: a preliminary randomized placebo-controlled trial. Pediatr Infect Dis J 2001; 20:177-83.
Jacobs J, Herman P, Heron K, Olsen S, Vaughters L. Homeopathy for menopausal symptoms in breast cancer survivors: a preliminary randomized controlled trial. J Alter Compl Med 2005; 11: 21-27.
. Van Wassenhoven M. Priorities and methods for developing the evidence profile of homeopathy. Recommendations of ECH General Assembly and XVIII Symposium of GIRI. Homeopathy 2005; 94, 2:107-124.
Hahnemann, S. Ensayo sobre un principio nuevo para descubrir los poderes curativos de las sustancias medicinales, junto con algunas miradas actuales (1796). En: Escritos médicos menores. New Delhi : B Jain Publisher. 1996.
Hahnemann S. Organón de la medicina (1810). Caracas: Ediciones de la Biblioteca. 1983.
Poitevin, B. Integrating homoeopathy in health systems. Bulletin of the World Health Organization. 199;77:16-166.
Brenes, A. Medicina Homeopática en Costa Rica. Medicina Legal de Costa Rica. 1990; 7: 24-31.
Caja Costarricense de Seguro Social. Departamento Farmacoterapia, Informe Final. Comisión institucional para el análisis de la homeopatía como medicina alternativa, San José, 4 de mayo,1998.
Brenes A. Terapéutica homeopática y Seguridad Social en Costa Rica. Conferencia, Foro de Prestaciones Sociales del Adulto Mayor y Medicina no Tradicional. Comisión Americana del Adulto Mayor, Comisión Americana Médica Social, Conferencia Interamericana de Seguridad Social. San José, Costa Rica. 2-4 de julio, 2003.Disponible en www.imss.gob.mx/NR/rdonlyres/BBE6B220-5E24-4CB6-AFD86A70CD9A60D7/12702/DrAlejandroBrenes.doc
Reilly D, Duncan R, Bikker A, Heirs M. Development of the GHHOS, the IDCCIM Action Research, & The PC-HICOM Project. Developing a scale relating outcome to impact on daily living, modelled on daily clinical care and piloted in an action research cycle in NHS General Practice. Interim Report February 2003. En http://www.adhom.com/ adh_download/PrimaryCarePrescribing.pdf. Consultado el 10 octubre 2007.
Manual diagnóstico y estadístico de los trastornos mentales, texto revisado DSM-IV-TR®. AP- Atención Primaria-. Barcelona: Masson,2004.
Jacobs J, Jiménez L, Gloyd S, Gale J, Crothers D. Treatment of acute childhood diarrhea with homeopathic medicine: a randomized clinical trial in Nicaragua. Pediatrics 1994; 93: 719-725.
Trichard M, Chaufferin, G, Nicoloyannis N. Study of the practice of homeopathic general practitioners in France. Homeopathy 2003; 92:135-139.
Vithoulkas G. Las leyes y principios de la homeopatía en su aplicación práctica. Barcelona: Paidós -Ibérica, 1997: 26, 35-36.
Robinson T. Responses to homeopathic treatment in National Health Service general practice, , Homeopathy 2006;95: 9-14.
Pomposelli R, Andreoni C, Costini G, Dedor B, Mariani M, Castellini M et al. Opinions and self-reported health status of italians seeking homeopathic treatment. Homeopathy 2006; 9: 81-87
Mercer S, Reilly D, Watt G. Enablement and the therapeutic Alliance: an evaluation of the consultation at the Glasgow Homoeopathic Hospital. Report February 2001. En: http://www.adhom.com/adh_ download/enablement.pdf. Consultado el 14 de mayo 2008
Asha J. Does homeopathy reduce the cost conventional drug prescribing? A study of comparative prescribing costs in General Practice. Homeopathy 2003; 92:71-76.
Vincent C, Furnham A. Why do patients turn to complementary medicine? An empirical study. Br J Clin Psicol. 1996; 35:37-48.
Riley D, Fischer M, Singh B, Haidvogl M, Herger M. Homeopathy and conventional Medicine: an outcomes study comparing effectiveness in a primary care -setting, J Alter Compl Med 2001; 7,2: 149-159.
Downloads
Published
Issue
Section
License
Copyright (c) 2009 Acta Médica Costarricense
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Los autores que publican en la revista Acta Médica Costarricense pueden distribuir, copiar, remezclar, retocar, leer, descargar, imprimir, buscar y crear a partir de su obra de modo no comercial, indicando los créditos a la revista y sus autores y compartir su obra en las mismas condiciones. Para ello se aplica la licencia Creative Commons Reconocimiento-NoComercial-CompartirIgual 4.0 Internacional(CC BY-NC-SA 4.0)
